咽通道管治疗阻塞性睡眠呼吸暂停综合征  

Pharyngeal passage tube treatment for obstructive apnea syndrome

作　　者：叶非常[1] 魏骏[1] 胡燕明[1] 李显光[1] 王胜军[1] 梅桢峰[1] 陈晓虹[1] 汪银凤[1] 徐瑞云[1] 

机构地区：[1]合肥安徽省立医院耳鼻咽喉科,230001

出　　处：《中华耳鼻咽喉科杂志》2001年第1期58-60,共3页Chinese Journal of Otorhinolaryngology

摘　　要：目的　探讨用自行设计的咽通道管治疗阻塞性睡眠呼吸暂停综合征 (obstructivesleepapneasyndrom ,OSAS)的效果。方法　利用咽通道管于 1995年 5月～ 1999年 8月共治疗 5 7例OSAS患者 ,治疗前后用国产GKD 40 5A六导睡眠监测呼吸暂停指数、低通气指数、呼吸紊乱指数、最长呼吸暂停时间、最低血氧饱和度、监测期间血氧饱和度大于 90 %时间的百分率和鼾声响度 7项指标。结果治疗后最长呼吸暂停时间由 (5 4.82± 2 0 .83)s降至 (2 5 .74± 9.5 0 )s,呼吸紊乱指数由 70 .82± 18.0 6降至 30 .0 0± 10 .10 ,最低血氧氧饱和度由 (6 2 .36± 11.5 3) %提高到 (78.6 8± 12 .0 9) % ,鼾声响度由 (84.32± 18.5 1)dB降至 (32 .6 4± 10 .16 )dB ,均较治疗前有明显改善 (P <0 .0 5～ 0 .0 0 1,t值 2 .2 0 4～ 15 .2 90 )。掌握自行戴管技术的成功率为 87.72 % (5 0 / 5 7) ,长期置管率 (半年以上 )为 72 .73% (32 / 44 )。结论　本疗法对重症OSAS患者有明显疗效 。Objective To investigate the therapeutical effect of pharyngeal passage tube for OSAS. Methods Fifty seven patients were treated during May 1995 to August 1999. All patients were examined by GKD 405 A polysomnography for apnea index (AI), hypnea index (HI), AHI (AI+HI) at cetera 7 items index before and after pharyngeal passage tube treatment. Results After treatment, the longest time of apnea shortened from (54.82±20.83) s to (25.74±9.50) s, the AHI lessened from 70.82±18.06 to 30.00±10.10, the oxygen desaturation increased from (62.36±11.53) % to (78.68±12.09)%. After treatment, the recorded parameters showed obvious therapeutical effect ( P <0.05～0.001, t values is from 2.20 to 15.29, the snore loudness of all patients dropped from (84.32±18.51) dB to (32.64±10.16) dB. The therapeutical successful rate was 87.72%. The long term use rate (over 6 months) was 72.73%. Conclusion The pharyngeal passage tube has obvious effect for patients suffering from severe OSAS. It is recommended for the treatment of OSAS as a concervative method.

关 键 词：睡眠呼吸暂停综合征 治疗结果 多道睡眠描记术 

分 类 号：R766[医药卫生—耳鼻咽喉科]